GEORGIA, FULTON COUNTY DO NOT WRITE IN THIS SPACE STATE COURT OF FULTON COUNTY CIVIL ACTION FILE #: Civil Division vs. ame, Address, City, State, Zip Code SUMMONS TO THE ABOVE NAMED-DEFENDANT: if no Attorney, to-wit: Name: Address: City, State, Zip Code: Phone No.: An answer to this complaint, which is herewith served on you, should be filed within thirty (30) days after service, not counting the day of service. If you fail to do so, judgment by default will be taken against you for the relief demanded in the complaint, plus cost of this action. DEFENSE MAY BE MADE & JURY TRIAL DEMANDED, via electronic filing through E-file GA or, if desired, at the e-filing public access terminal in the Self-Help Center at 185 Central Ave., S.W., Ground Floor, Room TG300, Atlanta, GA 30303. LeNora Ponzo, Interim Chief Clerk (electronic signature) If the sum claimed in the suit, or value of the property sued for, is $300.00 or more Principal, the defendant must admit or deny the paragraphs of tten Answer. Such paragraphs un If the principal sum claimed in the suit, or value of the property sued for, is less than $300.00, and is on a note, unconditional contract, account sworn to, or the petition sworn to, defense must be made by filing a sworn answer setting up the facts relied on as a defense. SERVICE INFORMATION: Served, this day of , 20. DEPUTY MARSHAL, STATE COURT OF FULTON COUNTY WRITE VERDICT HERE: We, the jury, find for This day of , 20. Foreperson (STAPLE TO FRONT OF COMPLAINT) TYPE OF SUIT AMOUNT OF SUIT [ ] ACCOUNT PRINCIPAL $ [ ] CONTRACT [ ] NOTE INTEREST $ [ ] TORT [ ] PERSONAL INJURY ATTY. FEES $ [ ] FOREIGN JUDGMENT [ ] TROVER C OURT COST $ [ ] SPECIAL LIEN ************ [ ] NEW FILING [ ] RE - FILING : PREVIOUS CA SE NO. American LegalNet, Inc. www.FormsWorkFlow.com